NPI 1073083978

Jacob D Dotseth

Practitioner Athletic Trainer Glenwood City, WI

Practice location

Address: 446 Pine St, Glenwood City, WI 54013-8537
Phone: (715) 461-0406

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1073083978
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2018
Record last updated: 17 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.